The holder whose full name is Thirugnanam, Omdevasena,come from Cincinnati OH,hold the Temporary MD Permit license(NO.99047919A) which status is Superceded.
| Name | Thirugnanam, Omdevasena |
|---|---|
| License Number | 99047919A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Cincinnati |
| State | OH |